A 2-year-old boy is seen with a mild productive cough of 2 weeks’ duration. There has been an intermittent low-grade fever, and mild anorexia. There has been no foreign travel, but a grandmother lives in the same house and she has a chronic productive cough. You have some concern that this boy could have tuberculosis (TB). A TB skin test (Mantoux) test is performed, and you decide to also obtain a chest x-ray. Which one of the following would apply?
A. Start the patient on isoniazid (INH) pending further evaluation
B. Continued observation and follow-up chest x-ray in 1 month
C. Admit to the hospital for nasogastric (NG) aspirate collection for AFB
D. Await results of the TB skin test for further action
E. Admit to the hospital for sputum collection for acid fast bacilli (AFB)
A. Start the patient on isoniazid (INH) pending further evaluation
B. Continued observation and follow-up chest x-ray in 1 month
C. Admit to the hospital for nasogastric (NG) aspirate collection for AFB
D. Await results of the TB skin test for further action
E. Admit to the hospital for sputum collection for acid fast bacilli (AFB)